Amblers Orchard received an overall Good rating on its first inspection, with four of five key questions rated Good and Effective rated Requires Improvement due to inconsistent Mental Capacity Act documentation and recording of best interest decisions. The service demonstrated strong person-centred care, safe medication management, an open leadership culture, and effective multi-agency working.
Concerns (3)
moderate
Consent / capacity
: “We found inconsistency in how documentation in relation assessment of people's mental capacity and best interest decisions were being completed.”
minorRecord keeping: “There was inconsistency in the written records around people's 'as and when' required medicines.”
minorCare planning: “the moving and handling risk assessment and care plans of one person did not always detail the specific equipment requirements to help that person mobilise.”
Strengths
· People felt safe and staff were described as kind, caring, compassionate and respectful
· Medication was managed safely and staff competency to administer medication had been assessed
· Risk assessments were in place and accidents/incidents were regularly analysed and discussed with staff
· People's independence and reablement were actively promoted with positive outcomes evidenced
· Varied activities programme and community links supported people's wellbeing and social inclusion
Quality-Statement breakdown (22)
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolation; support to follow interests and activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; Continuous learning and improving careGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: How the provider understands and acts on the duty of candour; Managers and staff being clear about their rolesGood